Edward Hines, Jr. VA Hospital
Request Your Medical Records
Our Release of Information staff will be happy to assist you with requests for your medical records. We also assist providers with completing forms for patients.
We can assist you with the following —
- access to your medical records
- obtaining copies of your medical records
- requests to amend your medical records
- completion of forms for benefits, insurance, and other reasons
The Release of Information Staff would be our experts in our patients' rights and their medical records.
The Release of Information Office is located in the Building 220, Ground floor, room 104.
How to Request Information
To request a medical record, please fill out one of the forms listed in the column to the right, complete the requested information, sign the form, and mail it to the following address —
Edward Hines Jr. VA Hospital
Release of Information
5000 South 5th ave.
Hines, IL 60141
Because forms must contain an original signature, e-mailed forms cannot be accepted.
Requests for records will take approximately 10-14 bsiness days to process.
There is no cost to send copies directly to another health care provider. If copies are for a patient's personal use, photocopying fees may be assessed.